Individual
THONJA RENEE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MCDANIEL AVE, PICKENS, SC 29671-2527
(864) 898-5965
Mailing address
128 HEDGE ST, CENTRAL, SC 29630-9172
(864) 650-8977
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
208333
SC
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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